Surgical Guide

Discussion in 'exocad' started by Vlad Popescu, Feb 4, 2019.

  1. Vlad Popescu

    Vlad Popescu New Member

    Hello friends! Can anyone of you tell which are the steps to manufacture a surgical guide ? I wish to print them but i don t know how to make them or which software to use.
  2. 2thm8kr

    2thm8kr ɹotɐɹʇsıuıɯqA Staff Member

    I believe exoplan is available in Europe.
    Right now I am using GuideMia for planning and surgical guide design.
    cadfan likes this.
  3. Sir Morty

    Sir Morty Active Member

    There is also Blue Sky Bio.
    You can design one with the software but you have to pay to be able to print what you have designed.
  4. Vlad Popescu

    Vlad Popescu New Member

    Thanks, but i'm more intrested in the exact methods to do it . I've never did a surgical guide before. I've seen there are some metal pieces that need to be placed in the guide. Does anyone have an workflow about the surgical guides? Thanks again for the answers
  5. Kongo-Otto

    Kongo-Otto Love on first bite!

    the metal piece is the drill guide for the implant. The surgical guide is a splint that keeps the drill guide in place. Position and exact lenght of implant in bone are fixed there.

    You are a creature of the night too vlad ? :)=
    French Cadman, cadfan and 2thm8kr like this.
  6. 2thm8kr

    2thm8kr ɹotɐɹʇsıuıɯqA Staff Member

    Typically, my process is to start with a digital DX of the case whether it is a single unit or full arch.
    Get the CT scan of the patient.
    Use the software tools to navigate to the work area in the 3d image.
    Import the patient model or IOS scan of the neighboring teeth, soft tissue and the DX work up.
    Merge the stl file of the hard and soft tissue scan to the CT scan
    Using the 3d image determine if there is enough bone structure to place the desired implant system.
    If not speak with the surgeon about grafting or other options.
    If so then place the implant as ideally under the proposed restoration as the bone and other anatomic structure will allow.
    Submit the plan to the surgeon for any tweaks and/or approval of implant positioning.
    In the planning software select the surgical kit to be used, this is what determines depth stops and which type of guide you will be designing. One with metal sleeves or sleeveless if the interdental space is not wide enough. Each software has a different, but similar method
    Once this is determined, the next step in my software is to find a path of draw on the tissue model.
    Trace out the terminal borders of the guide and generate the rendering of the guide.
    Export the guide design and print. Fixate the sleeves with cyanoacrylate glue.

    This is just a basic example of the process. More complex cases have different methods just like anything else we do as technicians.
    adipas and Kongo-Otto like this.
  7. 2000markpeters

    2000markpeters Well-Known Member

    I use CoDiagnostics. It allows to plan, communicate with your doctor and print the guide for guided surgery.
    studenygreg likes this.
  8. 2thm8kr

    2thm8kr ɹotɐɹʇsıuıɯqA Staff Member

    How much does that cost to play?
    Any limits to design? Can you make an existing denture the SX guide from a scan? Export fees?

    On a side note, how many guides do you average a month? Siingles/multiples.
  9. studenygreg

    studenygreg New Member

    I work for a company that makes surgical guides. We use codiagnostix. I make anywhere from 3-30 a day depending on difficulty. The 3 a day is for bone reduction guides and the 30 a day is for easy single implant cases. If the patient have a denture I normally invert the denture to use the antaglio surface, if not you can segment the cut scan to create a soft tissue model.

    Sent from my SM-G960U using Tapatalk
    Kongo-Otto likes this.
  10. 2000markpeters

    2000markpeters Well-Known Member

    Production license about 600 a year. 65 per case click fee

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